Individual
RYAN OLIVEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
540A LINE RD, HOLMDEL, NJ 07733-1634
(732) 739-0800
Mailing address
9 MARGARET ST, CLIFFWOOD, NJ 07721-1188
(732) 275-5478
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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